The Pharmacy Network Contracting Manager is an individual contributor who leads high-volume pharmacy contracting workflows, governs the contract lifecycle (new agreements, amendments, renewals, terminations), negotiates and reviews redlines with Legal, and ensures executed terms are accurately configured in the claims adjudication system. The role oversees rate loading, post-load validation, documentation and playbooks, partners with Provider Relations and other cross-functional teams, and drives reporting and continuous process improvements. Requires a bachelor's or equivalent experience and 8+ years in pharmacy/provider contracting, PBM network operations, or healthcare contract administration.

SmithRx seeks a Clinical Review Pharmacist (6-month full-time contract) to perform evidence-based reviews of prior authorizations and appeals, ensure regulatory and accreditation compliance (URAC/NCQA), document clinical decisions, respond to clinical inquiries from members/providers/pharmacies, support training, and assist with process improvement initiatives. Requires PharmD or B.S. Pharm, active unrestricted pharmacist license in state of residence, and a minimum of 2 years pharmacy practice experience.

Lead SmithRx’s Pricing team to craft PBM pricing and guarantees, develop and execute forward-looking drug spend forecasting models, translate actuarial and market trends into pricing strategy, engage brokers and pharmacy consultants, and partner across Sales, Strategy, Clinical, Supply Chain, and Data Analytics to drive growth. Requires 10+ years analytical/forecasting experience with at least 5+ years in healthcare or pharmacy industry roles.

SmithRx seeks a Director of Product Marketing to lead go-to-market strategy, category creation, product positioning, sales enablement, and a growing PMM team for its PBM-focused health-tech platform. The role requires 10+ years in product marketing (including 4+ years in leadership), experience bringing AI-powered products to market, and strong cross-functional collaboration with Product, Sales, and Executive leadership; US-based candidates are preferred (San Francisco Bay Area, Salt Lake City, or Dallas cited).

Remote Account Executive role at SmithRx serving as a strategic partner to employers, health plans, and TPAs. Responsibilities include managing complex accounts, leading renewals, analyzing pharmacy claims to recommend cost-containment and clinical changes, delivering QBRs, coordinating cross-functionally, and mentoring junior account staff. Requires experience in PBM/health insurance and account management; travel up to 25%.

Lead, develop, and scale a high-performing Account Management organization focused on proactive client management, retention, satisfaction, and financial performance. Responsible for coaching managers and Account Executives, establishing operating rhythms and playbooks (account planning, QBRs, escalations), capacity planning, OKRs/reporting, and partnering cross-functionally with Product, Sales, Finance, Clinical, Legal, and Operations. Requires 10+ years in account/client success roles and 5+ years managing managers; healthcare/PBM experience strongly preferred.

Remote VP of Growth Marketing at SmithRx leading high-velocity experimentation and building a growth organization focused on Pharmacy Benefit Management (PBM). Responsibilities include running growth experiments across messaging and channels, partnering with Sales and Product to sell direct to employers and via brokers, managing Growth Ops and BDR teams, and building a technical growth pod that uses AI/LLM agents and custom tooling. Requires 8+ years in growth marketing/demand generation at high-growth startups. Listed base salary range: $255,000–$300,000 USD (location-dependent).

Lead data engineering role focused on architecting and maintaining production data pipelines and warehouses (Snowflake), leveraging tools like Airflow, dbt, PySpark and Python. Requires 8+ years of data engineering experience (or 12+ with a bachelor’s), strong skills in data modeling, ETL, data governance/PII-P HI protection, distributed systems, and leadership/mentorship. US-based compensation ranges in the posting span approximately $178,500–$252,000 annual depending on location.

Reporting to the Senior Manager, Corporate Accounting, the Staff Accountant will own indirect tax filings, state registration filings, member reimbursement processing and escheatment, daily cash transaction clearing and month-end cash reconciliations, and corporate credit card expense coding and reconciliations. Requires a Bachelor's in Accounting/Finance, 1–3 years of corporate/operational accounting experience, working knowledge of US GAAP and general ledger operations, strong Excel skills, and ability to learn accounting systems (e.g., Sage Intacct).

Contract (6 months), remote role restricted to specific U.S. states. The Pharmacy Technician will verify eligibility and drug coverage, manage prior authorization requests under protocol, coordinate outreach with pharmacies/providers, build authorizations in the claims system, and triage clinical cases to pharmacists as needed. Requires an active pharmacy technician license and 2–4 years of related experience; proficiency with Mac, MS Office and G Suite is required.

The Strategic Finance Manager will build and own the company’s strategic financial model and fully integrated long-range plan, produce investor-grade valuations and sensitivities, scale modeling infrastructure, lead cash flow and liquidity forecasting, and support fundraising and M&A diligence. The role partners with the CFO, executive leadership, and FP&A to connect financial analysis to operational decisions. Requires 5+ years in investment banking, private equity, equity research, or similar, experience analyzing healthcare/health-tech, and strong Excel modeling skills.

The Plan Operations Pharmacist supports SmithRx's Plan Operations and Implementation teams by offering clinical pharmacy subject-matter expertise for new client implementations. Responsibilities include formulary and clinical program explanation, drug spend and utilization insights, recommending clinical programs, responding to plan-specific clinical inquiries, creating clinical go‑live materials, and communicating market intelligence. Requires an advanced pharmacy degree (RPh or PharmD), an active pharmacist license in the state of primary residence, and at least 3 years as a licensed pharmacist; client-facing and PBM/benefits experience is preferred.

Serve as the primary data SME between Account Management and Reporting/Data teams to interpret pharmacy claims, trend analysis, and rebate projections; ensure client report integrity, perform deep-dive root-cause analyses, support plan design recommendations, and present findings in client meetings and QBRs. Role requires 5+ years of PBM or healthcare data/financial analysis experience and travel ~15–20%.

SmithRx is hiring a Pricing Strategy Director to develop and compose PBM pricing offers for enterprise prospects, perform repricing and member experience analyses using historical claims data, support RFP responses, and collaborate with Sales, Proposals, Legal, Supply Chain, and Revenue teams. Requires 10+ years working with pharmacy benefits RFPs, contracts, AWP discount and rebate pricing, strong Excel skills, and experience engaging employers, brokers, and consultants.